New onset right ventricular enlargement in recent dyspnea: Is echocardiography enough for a diagnosis of pulmonary thrombo-embolism?

Utilization of bedside ultrasound in the diagnosis and management of massive pulmonary embolism: a case report

“…[2] concluded no single laboratory or imaging test was sufficient to diagnosed PE alone. Similar literature suggests applying a combination of lower-extremity compression venous ultrasonography with echocardiography to diagnose massive PEs [9]. Using bedside ultrasound, we were able to visualize right heart strain.…”

Chronic thromboembolic pulmonary hypertension mimicking coronary artery disease

“…2 After a preliminary screening suspect for pulmonary hypertension and/or chronic thrombo-embolic etiology, the patients should be referred to tertiary centers with specific and multi-professional expertise (heart and thoracic imaging). [3][4][5][6] Fig . 1.…”

Don’t stop at first glance: pulmonary artery angiosarcoma mimicking chronic thromboembolic pulmonary hypertension

“…Even a diagnosis of pulmonary thromboembolism exclusively based on echocardiography may be occasionally misleading without a careful diagnostic work-up. 4 The involvement of the right ventricular outflow tract and pulmonary valve by extraluminal infiltration, and small or no change in size after appropriate anticoagulation at the ultrasound follow-up, are in favor of diagnoses other than pulmonary embolism. The presence of tumors should be also considered in order to avoid any delay in required treatments (chemotherapy, surgical debulking, or percutaneous stenting).…”